{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AMANDA MILLER","gend":1,"add":"5526 PAYNE DR APT E","city":"KING GEORGE","state":"VA","zip":"22485-9998","dob":"1988-05-20","age":"","mstatus":"","insh":"1029427*01","cliId":"","pno":7577693738,"cno":7577693738,"email":"","ename":"","eno":"","pphy":"DHILLON, PUSHPINDER MD","ppno":5403737668,"pcpadd":"412 CAMBRIDGE STREET,","pcpcity":"FREDERICKSBURG","pcpstate":"VA","pcpzip":"22404-9998","pcpcounty":"","pcpid":"","pcpname":"Maternal Fetal Specialists","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":5403737676,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["O80.","Z37.0","Z3A.36","O26.852","V23.41","V23.5","Z3A.23","Z87.891","Z88.5","Z88.1","Z88.0","O99.012","O99.330","O21.2","O60.03","Z3A.31","D68.61","O60.14X0","O99.12","O99.324","O99.344","O70.0","O76.","O69.81X0","F12.90","F41.8","O99.334","F17.290","Z79.82","Z87.442","N92.6","Z32.01","Z87.59","O26.841","F33.9","F41.1","O99.332","O99.013","O99.333","D50.9","K21.9","F41.9","NO DATA","S05.01XA","R11.2","R10.10","R63.0","K62.6","K02.53","O99.019","V23.2","D64.9","Z33.1","Z3A.37","O99.113","O99.343","K08.89","K08.9","F17.210","Z39.1","O26.893","N89.8","Z88.8","Z91.048","O26.891","R10.2","Z3A.13","K02.7","K05.312","K05.00","O26.853","Z30.017"],"date":["2022-04-27","2022-04-27","2022-04-27","2022-01-25","2022-04-21","2022-04-25","2022-01-25","2022-04-25","2022-01-25","2022-01-25","2022-01-25","2022-02-23","2022-02-07","2022-03-20","2022-03-20","2022-03-20","2022-04-26","2022-04-26","2022-04-26","2022-04-26","2022-04-26","2022-04-26","2022-04-26","2022-04-26","2022-04-26","2022-04-26","2022-04-26","2022-04-26","2022-04-26","2022-04-26","2021-09-29","2021-09-29","2021-09-29","2021-09-29","2021-11-23","2021-11-23","2022-02-23","2022-04-21","2022-04-21","2022-04-20","2022-04-20","2022-04-20","2022-04-20","2022-05-20","2021-01-14","2021-01-14","2021-01-14","2021-01-14","2021-06-09","2022-03-14","2021-11-04","2022-04-12","2022-04-12","2022-04-27","2022-04-27","2022-04-27","2022-03-13","2021-06-10","2021-06-10","2022-04-29","2022-04-25","2022-04-25","2021-06-10","2021-06-10","2021-11-11","2021-11-11","2021-11-11","2022-03-13","2022-03-13","2022-03-13","2022-04-25","2022-07-07"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Self-Assessment and Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[]}]},{"t":"Medical History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Family History","q":[{"a":[]}]},{"t":"Preventive Care","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":{"comment":"","sub":[["","31722071390","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","16714001610","ENOXAPARIN","INJ 40\/0.4ML","12","Select","Select",""],["","65628006301","PROGESTERONE","SUP VGS 200","30","Select","Select",""],["","10702019201","HYDROCO\/APAP","TAB 5-300MG","3","Select","Select",""],["","68382004101","PROMETHAZINE","TAB 25MG","20","Select","Select",""],["","31722054201","INDOMETHACIN","CAP 25MG","5","Select","Select",""],["","00143924920","AMOX\/K CLAV","TAB 875-125","14","Select","Select",""],["","17478007035","ERYTHROMYCIN","OIN 5MG\/GM","4","Select","Select",""],["","68645052154","SERTRALINE","TAB 25MG","30","Select","Select",""],["","78206014501","NEXPLANON","IMP 68MG","1","Select","Select",""],["","00093220301","METOCLOPRAM","TAB 10MG","16","Select","Select",""],["","68645056354","IBUPROFEN","TAB 800MG","40","Select","Select",""],["","68462015713","ONDANSETRON ODT","4 MG","10","Select","Select",""],["","68645052254","SERTRALINE HCL","50 MG","30","Select","Select",""],["","76385010617","KETOTIFEN FUMARATE","0.025 %","5","Select","Select",""],["","64980051505","OFLOXACIN","0.3 %","5","Select","Select",""]]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems and Diagnoses","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":[]}]},{"t":"Mini-Cog","q":[{"a":[]},{"a":[]}]},{"t":"Home Safety & Personal Goals","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":"","a12":"","a13":""}]}]}